| Rizen Phoenix Cpss Consultant Agency,llc | |
|
206 S Massey St Selma NC 27576-3008 | |
| (919) 750-1016 | |
| Not Available |
| Full Name | Rizen Phoenix Cpss Consultant Agency,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 206 S Massey St, Selma, North Carolina |
| Authorized Official Name and Position | Shebrail Latreece Raines (CEO/OWNER/OPERATOR) |
| Authorized Official Contact | 9197501016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rizen Phoenix Cpss Consultant Agency,llc 206 S Massey St Selma NC 27576-3008 Ph: (919) 750-1016 | Rizen Phoenix Cpss Consultant Agency,llc 206 S Massey St Selma NC 27576-3008 Ph: (919) 750-1016 |
| NPI Number | 1750251393 |
|---|---|
| Provider Enumeration Date | 11/10/2025 |
| Last Update Date | 11/17/2025 |
| Certification Date | 11/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750251393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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